Neonatal resuscitation
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Neonatal resuscitation is intervention provided to newborn babies who need help breathing or with circulation after birth. It involves clearing and drying the airway, maintaining body temperature, initiating breathing through tactile stimulation or positive pressure ventilation, and administering chest compressions and medications if needed to support circulation. Proper preparation, equipment, and personnel are required to effectively perform neonatal resuscitation when required.
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Neonatal resuscitation is intervention provided to newborn babies who need help breathing or with circulation after birth. It involves clearing and drying the airway, maintaining body temperature, initiating breathing through tactile stimulation or positive pressure ventilation, and administering chest compressions and medications if needed to support circulation. Proper preparation includes anticipating need, having adequate equipment like a resuscitation table, masks, oxygen, and medications, and ensuring trained personnel are present. Ongoing assessment of breathing, heart rate, and color determine if further resuscitation measures are required.
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This document provides an overview of neonatal resuscitation principles and procedures. It discusses the initial steps of resuscitation including providing warmth, positioning, clearing the airway, and stimulating breathing. It describes positive pressure ventilation techniques and the use of endotracheal intubation. Medications like epinephrine and volume expanders are outlined. Special considerations for preterm babies and ethics in end of life care are also summarized.
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This document outlines the steps for immediate care and resuscitation of newborns. It emphasizes that most newborns do not require advanced resuscitation, only routine care like drying, warming, and positioning. For babies that need help breathing, providers should maintain an open airway, clear secretions if needed, stimulate breathing, and provide positive pressure ventilation with a bag and mask if breathing does not improve. If the heart rate is low, cardiac compressions at a 3:1 ratio with ventilations should be provided. Resuscitation should continue until the baby's heart rate and breathing are stable. Proper preparation, assessment, and documentation are essential for newborn resuscitation.
Newborn Resuscitation Program
This document summarizes newborn resuscitation procedures. It outlines that most newborns do not require assistance, while about 10% need some help and 1% need major resuscitative measures. It describes evaluating the newborn after birth to determine if resuscitation is needed. Steps include providing warmth, clearing the airway, and tactile stimulation. Positive-pressure ventilation is indicated if the heart rate is low or cyanosis is present. Chest compressions are performed if the heart rate remains low despite ventilation. Epinephrine may be given via the umbilical vein if the heart rate does not improve after 60 seconds of coordinated compressions and ventilation.
New born resuscitation power point presentation
Bill Keenan was the founder of the Neonatal Resuscitation Program. Birth asphyxia accounts for about 1/4 of the 4 million neonatal deaths worldwide each year. The sequence of neonatal resuscitation is A-B-C, focusing first on airway, then breathing, then circulation. Effective resuscitation requires assessing the newborn, providing warmth, positioning, clearing the airway if needed, drying and stimulating breathing, and providing supplemental oxygen or positive pressure ventilation if needed. Chest compressions and medications may be required if the heart rate does not improve despite ventilation efforts.
Neonatal resuscitation
This document discusses neonatal resuscitation for newborn babies having difficulty transitioning from intrauterine to extrauterine life. It involves maintaining an open airway through positioning and suctioning, initiating breathing through tactile stimulation or positive pressure ventilation, and maintaining circulation through chest compressions if the heart rate is low. The key steps and equipment used are outlined, including correct techniques for bag-mask ventilation and chest compressions. Signs of improvement and next steps based on heart rate are also described.
Neonatal resuscitation
The document discusses neonatal resuscitation guidelines from the American Academy of Pediatrics. It outlines the assessment of newborns to determine if resuscitation is needed, including checking gestation, crying, muscle tone, oxygen saturation and Apgar score. The steps of resuscitation include maintaining temperature, establishing an open airway through positioning and suctioning, initiating breathing through tactile stimulation or positive pressure ventilation, and maintaining circulation through chest compressions and potentially medications if the heart rate does not improve. Equipment, medications and proper techniques are described for each step of resuscitation.
Airway Management
This document provides information on various airway management techniques including:
1) Using proper body substance isolation procedures when performing airway techniques.
2) Identifying when artificial ventilation or assisted ventilations are needed.
3) Using airway adjunct devices like oral and nasal airways when appropriate.
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Neonatal resuscitation
- 2. WHAT IS NEONATAL RESUSCITATION? Neonatal Resuscitation is intervention after a baby is born to help it breathe and to help its heart beat.
- 3. Before a baby is born, the placenta provides oxygen and nutrition to the blood and removes carbon dioxide. After a baby is born, the lungs provide oxygen to the blood and remove carbon dioxide
- 4. The transition from using the placenta to using the lungs for gas exchange begins when the umbilical cord is clamped or tied off, and the baby has its first breath. Many babies go through this transition without needing intervention. Some babies need help with establishing their air flow, breathing, or circulation
- 7. EQUIPMENT REQUIRED RESUSCITATION TABLE STERILE LINEN SUCTION APPARATUS LARYNGOSCOPE AMBU BAG & FACE MASKS ORAL AIRWAYS OXYGEN WITH FLOW METER & TUBING ENDOTRACHEAL TUBES SCISSORS GLOVES
- 8. MEDICATIONS Epinephrine Naloxone hydrochloride Volume expanders Normal saline Albumin 5% Ringer lactate Sodium bicarbonate4.2% Dextrose water 10% Sterile water
- 9. MISCELLENOUS Radiant warmer Stethoscope Adhesive tape Syringes Butterfly needles Umbilical artery catheterization tray Umbilical catheter 3 & 5 fr Feeding tube Spirit sponges
- 13. Clear of meconium Breathing or crying? Good muscle tone? Color pink? Term gestation? Provide warmth Position (clear airway) Dry,stimulate,reposition Give Oxygen Evaluate respiration,heart rate & colour Routine care: •Provide warmth •Clear airway •dry Provide positive pressure ventilation Provide positive pressure ventilation Administer chest compression Administer adrenaline Supportive care Ongoing care YES NO Breathing HR>100 & PINK APNEA Or HR<100 VENTILATING HR>100 & PINK HR<60 HR>60 HR<60 HR>60
- 14. HOW TO PREVENT HEAT LOSS? Place the infant under radiant heat source Dry off the amniotic fluid
- 15. What is the correct position? How to clear airway? Place the newborn in a supine position with neck semi extended,use a shoulder role to keep neck extended Suction the infant’s mouth and nose
- 16. INITIATE BREATHING Use tactile stimulation Employ positive pressure ventilation when necessary using Bag & mask Bag & endotracheal tube Ventilation rate=40/min Ventilation pressure=15-20cm of water Continue ventilation for 15-30 minutes
- 17. WHAT ARE THE WAYS TO MAINTAIN CIRCULATION? Chest compression=when HR<60/min Sternum should be compressed ½ inch with PPV at the ratio of 3: 1 Encircle the chest with overlapping thumbs or Place middle & index finger of one hand right angle to the chest wall over sternum Continue for 30 seconds,if HR>60 & increasing stop compressions
- 18. When to use medication? When HR is not increasing despite adequate ventilation with 100% oxygen & chest compression then use drugs to stimulate heart ADRENALINE(1:10,000): 0.1-0.3 ml/kg IV, repeated every 3-5 min Volume expanders(N/S,R/L,5% albumin): 10 ml/kg IV 5-10/min Sodium bicarbonate:prolonged cardiac arrest 1-2 meq/kg IV Naloxone hydrchloride: 0.1 mg/k IV,maternal narcotics administration within 4 hours Dopamine: continued shock,dose=5-20 mg/kg/min,continous